Which revenue cycle step involves charge capture and coding before claim submission?

Which revenue cycle step involves charge capture and coding before claim submission?

• A. Registration
• B. Eligibility and enrollment
• C. Claim submission
• D. Charge capture and coding.

Answer: (D)

Charge capture and coding is the step where the services provided are translated into billable charges with the correct CPT/HCPCS procedure codes and ICD-10-CM diagnosis codes. This happens after the encounter and before the claim is submitted to the payer. The purpose is to ensure the charges reflect exactly what was performed and are supported by documentation, enabling accurate reimbursement and compliance with coding guidelines. Registration and eligibility occur earlier to gather patient info and verify coverage, while claim submission follows once coding is complete.

Charge capture and coding is the step where the services provided are translated into billable charges with the correct CPT/HCPCS procedure codes and ICD-10-CM diagnosis codes. This happens after the encounter and before the claim is submitted to the payer. The purpose is to ensure the charges reflect exactly what was performed and are supported by documentation, enabling accurate reimbursement and compliance with coding guidelines. Registration and eligibility occur earlier to gather patient info and verify coverage, while claim submission follows once coding is complete.